Cooperative Resources International Collegiate Scholarship Program Resources is our middle name. Through the Cooperative Resources International (CRI) Collegiate Scholarship Program, the cooperative serves as a financial resource for youth attending a 4-year college/university or 2-year technical college. Annually, CRI offers a minimum of four $750 scholarships with the goal of empowering youth to pursue careers in agriculture. Eligibility requirements • Students must be attending a 4-year college/university or 2-year technical college in the fall of 2015. • Students are only eligible to receive the CRI Collegiate Scholarship one time. • Students must be pursuing a degree in an agricultural field. • Students must be affiliated with a member of a CRI cooperative subsidiary (AgSource Cooperative Services or Genex Cooperative, Inc.) by having an active role on the member’s dairy or ranch. • Must be a U.S. citizen or permanent resident. • Children of CRI, AgSource, Genex and MOFA Global employees are not eligible. The scholarships will be paid upon receipt of a transcript showing completion of the fall 2015 semester and proof of registration for the spring 2016 semester. The completed application and supporting materials (photo and two letters of recommendation) must be postmarked by March 31, 2015. They should be mailed to: CRI Collegiate Scholarship Program Attn: Jenny Hanson PO Box 469 Shawano, WI 54166 For more information, call 888-333-1783. CRI Collegiate Scholarship Program 2015 Scholarship Application Applicant Information Name of Applicant:_________________________________________________________________________ Address:__________________________________________________________________________________ City: ______________________________________ State: ____________________ Zip: _________________ Home Phone:_______________________________ Mobile Phone:__________________________________ Email: ____________________________________________________________________________________ High School Information School Name: _____________________________________________________________________________ School Address: ___________________________________________________________________________ City: ______________________________________ State: ____________________ Zip: _________________ Year of Graduation:______________ Grade Point Average:_______________ Class Rank: ______ of ______ Post-Secondary School Information School Name: _____________________________________________________________________________ School Address: ___________________________________________________________________________ City: ______________________________________ State: ____________________ Zip: _________________ Major: ___________________________________________________________________________________ High school seniors - Have you received official notice of acceptance? _____Yes _____No Undergraduates - Grade Point Average: ________ Anticipated date of graduation (month/year): ________ Explain how you plan to finance (or are financing) your post-secondary education. ____________________ _________________________________________________________________________________________ _________________________________________________________________________________________ Family Information Parent Name (first and last):__________________________________________________________________ Occupation:_______________________________________________________________________________ Employer:_________________________________________________________________________________ Parent Name (first and last):__________________________________________________________________ Occupation:_______________________________________________________________________________ Employer:_________________________________________________________________________________ AgSource/Genex Member Information Member Name:____________________________________________________________________________ Business Name (dairy or ranch): ______________________________________________________________ Address:__________________________________________________________________________________ City: ______________________________________ State: ____________________ Zip: _________________ Phone: ___________________________________________________________________________________ This individual/business is a member of: _____AgSource _____Genex Briefly describe your affiliation with an AgSource or Genex member. What role do you have on the member’s dairy or ranch?____________________________________________________________________ _________________________________________________________________________________________ _________________________________________________________________________________________ _________________________________________________________________________________________ Questions and Answers: Please answer the following questions on a separate sheet of paper. Mail your responses along with the above application. Each answer should be 250 words or less. 1. School Activities: Describe your participation in school-related extracurricular activities. 2. Community Activities: Describe your community involvement and leadership roles in community activities outside of school. 3. Agricultural Activities: Describe your involvement in agricultural activities. 4. Agricultural Impact: What does agriculture mean to you? What lessons have you learned from your agricultural involvement? 5. Career Plans: Describe the career you are pursuing. Explain what influenced this career choice, how you are preparing for your career and what leadership roles you plan to take on within this career. Photograph Include a professional-looking, high-quality headshot photograph with your completed application for publicity purposes. Letters of Recommendation Submit two letters of recommendation along with the application. The letters should be mailed with your application. They should be included in a sealed envelope from the reference. Confirmation If awarded a CRI scholarship, I agree to the use of my name and the information contained in my application for promotional purposes. Furthermore, I certify the information contained on this application is correct to the best of my knowledge. I understand all information contained on this application is subject to verification by CRI and that false information will lead to disqualification. Applicant’s signature:_________________________________________ Date:___________________________ ©2014 CRI F-08308-14
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